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ALGAF IV. GHANA’S PRESENTATION Friday, December 19, 2003. What is the purpose of an HIV/AIDS Strategy?. What is a strategy? Guideline Roadmap Work plan. Importance of HIV/AIDS strategy. Because of spread Devastating effects of disease
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ALGAF IV GHANA’S PRESENTATION Friday, December 19, 2003
What is the purpose of an HIV/AIDS Strategy? What is a strategy? • Guideline • Roadmap • Work plan
Importance of HIV/AIDS strategy • Because of spread • Devastating effects of disease • Social, economic and developmental impacts of HIV/AIDS • Reduce and prevent spread
Why is mainstreaming an important element? A • Everybody should be involved in integrating HIV/AIDS response in every sector of Ghanaian economy • Become a social problem • Security risk (without care it could wipe out a whole generation)
How non-health related departments can help. B • Financial support • Diverse expertise (educational) • Seminars/teachings • Advice market women, truck drivers, etc. • volunteerism
Who is Responsible For Coordination? • District bodies • National level: Ghana AIDS Commission • Special offices or desk for HIV/AIDS prevention
Challenges • Short tenure of office • Continuity of services • Lack of dedicated resources (human & material)
Functional integration to improve service delivery • Education of other diseases (e.g. Tuberculosis, Malaria, & STIs) • Non-communicable diseases • Education on good health (good diet, exercises) • Proper refuse disposal • Responsibility of media about information on locations of refuse disposals, washrooms, etc.
Functional integration to improve service delivery (Cont.) • Education on usage of facilities • Biomedical waste disposal system • Government’s responsibility of providing facilities that are not existing for health improvement
Data collection • Ghana AIDS Commission • National AIDS Control Program • District hospitals • Local clinics/ health posts • District Assemblies • Unit Committees
Services provided • Community, regional and district offices • Education of people about the menace (Action AID) • Co-ordination • Awareness creation, VCT
Formal and Informal Relationship Between Organizations • Poor relationship between LGAs and organizations responsible for HIV/AIDS • Poor data of organizations by LGAs • No accurate monitoring and supervision and evaluation
Gaps in service provision • No accurate monitoring and inaccurate supervision • Lack of innovations • One sided method of education on HIV/AIDS (Awareness)
Proposal for Addressing Gaps Identified • Capacity building (behavioural change counselors)
Some organizations in my municipality to be targeted • Hairdressers and barbers • Tailors and dressmakers • Drivers (including truck drivers) • Circumcisionists • Hoteliers and bar operators • Soldiers and police (Forces)
Departments in Local Government Authorities and Groups Associated • Education (school children, students) • Health (doctors, nurses, etc.) • Agriculture (farmers) • Social workers ( including street children, “Kayayos”) • Interior (Forces, Fire Service)
Activities to be implemented • Water and sanitation programs • Behavioural changes • Peer group training (Education) • Community health • Child welfare clinics • Workshops
Services Provided to HIV/AIDS Prevention • Counseling • Educational talks • Voluntary Counseling & Testing (VCT) • Home base care • Prevention of Mother To Child Transmission
Identifying Organizations Outside The Public Sector • Religious bodies • Barbers • Hairdressers • Traders • Poultry farmers • Ghana Midwifery/ Nurses Association
Where do HIV/AIDS Infected People go? • Hospitals (Korle Bu, Noughuchi) • Laboratories • PPAG • Clinics • Accredited medical institutions
Where do People go if they are HIV Positive? • NGOs • Hospitals for counseling • Office desk
Where do They Find Counseling On Nutrition & Healthy Lifestyle? • NGOs • Hospitals • clinics, etc.
Where Can They Get Access To Condoms? • Hospitals • Clinics • Pharmacies • Drug stores • NGOs • Street vendors
Who Can They Turn To If They Loose Their Jobs And Family Income? • CHRAG • FBOs • NGOs
When They Become Sick, Where Can Their Caregiver Turn To For Advice? • Hospitals where victims were diagnosed • Desks within District Assemblies, Unit committees, etc. • FBOs • NGOs
How Will Their Children Attend School? • NGOs • FBOs • Scholarships from Central government, District Assemblies, Unit committees
Who Will Pay For Their Burial? • Extended family • Unit committees • Ethnic associations
Where they will seek the service and mechanisms for referrals • The following have been categorised according to service provision capacity Teaching/ Tertiary Regional hospitals Level C (District Hospital Status) Level B (Clinics, Health Centers)